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27 August 2020 : Case report  Greece

Unusual Complications of Infective Endocarditis

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care

Maria S. Bonou1ABEF*, Eva D. Papadimitraki1ABEF, Chris J. Kapelios1ABEF, John Barbetseas1ABEF, Nora-Athina Viniou2ABEF

DOI: 10.12659/AJCR.923023

Am J Case Rep 2020; 21:e923023

Abstract

BACKGROUND: Despite advances in management, infective endocarditis remains a condition with high in-hospital and post-discharge mortality, especially when it is complicated by perivalvular extension and heart failure (HF).

CASE REPORT: Herein we describe two illustrative cases of endocarditis. The first case was complicated by left ventricle to right atrial fistula. The second cased was complicated by valvular perforation with a “windsock” appearance. Both patients developed acute HF.

CONCLUSIONS: Fistulas and severe valvular regurgitation are among the major causes of acute HF in the setting of infective endocarditis. In such cases, surgery should be considered to decrease mortality.

Keywords: Endocarditis, Heart Failure, Staphylococcus aureus

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923